Clark D E, Wildner M, Bergmann K E
Bavarian Public Health Research Center, Ludwig-Maximilians University, Munich, Germany.
Am J Public Health. 2000 Nov;90(11):1761-4. doi: 10.2105/ajph.90.11.1761.
This study determined the effects of social changes in East Germany since 1989 on patterns of injury mortality.
Death certificate data regarding injuries from 1980 through 1995 and police data regarding traffic injuries in East Germany from 1980 through 1998 were compared with similar data from West Germany.
The number of motor vehicle-related injuries and deaths in East Germany increased dramatically between 1989 and 1991, whereas those in West Germany declined slightly. The increased mortality in the more rural East has especially involved young men driving automobiles on rural roads and has persisted since reunification of East and West Germany. Falls, other accidents, and suicides have shown no such effect. Homicide among East German men has increased but remains uncommon.
Recent social changes in East Germany, including increased access to motor vehicles and decreased restrictions on personal freedom, have been associated with increased motor vehicle crashes and mortality, especially among young men and on rural roads.
本研究确定了自1989年以来东德社会变革对伤害死亡率模式的影响。
将1980年至1995年东德有关伤害的死亡证明数据以及1980年至1998年东德有关交通伤害的警方数据与西德的类似数据进行比较。
1989年至1991年间，东德与机动车相关的伤害和死亡数量急剧增加，而西德则略有下降。在农村地区较多的东德，死亡率上升尤其涉及在农村道路上驾驶汽车的年轻男性，并且自东西德统一以来一直持续。跌倒、其他事故和自杀并未显示出这种影响。东德男性中的杀人案件有所增加，但仍然不常见。
东德近期的社会变革，包括机动车使用增加和个人自由限制减少，与机动车碰撞事故和死亡率增加有关，尤其是在年轻男性和农村道路上。
